E2 ModeratePreliminaryPEM ?Cross-SectionalPeer-reviewedMachine draft
Assessing the influence of lived-experience experts on healthcare providers in a virtual community of practice: a qualitative study.
Weaver, Stephanie Sargent, Carry, Monique, Bertolli, Jeanne et al. · Frontiers in health services · 2025 · DOI
Quick Summary
This study looked at whether having patients with lived experience of Long COVID and ME/CFS help teach doctors made a real difference in patient care. Researchers tracked what these patient-experts recommended to doctors through online training sessions from 2022-2024, and then asked actual patients if their doctors seemed to apply that advice. The main recommendations focused on validating patients' experiences, showing empathy, helping with referrals, and supporting self-care. Patients reported noticing positive changes in how their doctors treated them, suggesting that including patient-experts in medical education actually works.
Why It Matters
This study demonstrates that including people with lived experience of ME/CFS in medical education can change how doctors interact with and care for their patients. For ME/CFS patients and advocates, it provides evidence supporting patient-centered approaches to provider training and validates the value of patient expertise in improving healthcare quality. The findings support scaling similar programs to address the well-documented gaps in ME/CFS recognition and appropriate care.
Observed Findings
- Six major themes emerged from lived-experience expert recommendations: patient validation, provider attitudes and beliefs, empathetic communication, referral navigation, disability recognition and support, and self-care guidance
- Patient interview data showed positive feedback aligned with topics emphasized by lived-experience experts
- The ECHO learning model was adapted successfully to include lived-experience experts as educators
- Patients reported noticing differences in how their providers communicated and approached their care
- The LC&FIRP program operated continuously from January 2022 through March 2024 with sustained participant engagement
Inferred Conclusions
- Lived-experience experts can effectively influence primary care provider behavior and attitudes toward patients with ME/CFS and Long COVID
- Incorporating patient voices into medical education is a valuable strategy for improving healthcare quality in under-resourced areas
- The ECHO model combined with lived-experience expertise may serve as a scalable framework for training providers on poorly understood post-acute conditions
- Patient-centered education recommendations—focusing on validation, empathy, and disability support—resonate with actual patient needs and expectations
Remaining Questions
What This Study Does Not Prove
This study does not prove that the LC&FIRP program improves clinical outcomes or recovery rates—it only shows that patients perceived positive changes in provider behavior and attitudes. The observational, qualitative design cannot establish causation or compare outcomes to standard care. The study also does not measure whether improved provider attitudes translate to better long-term health outcomes for patients.
Tags
Symptom:Cognitive DysfunctionPainFatigue
Phenotype:Infection-TriggeredLong COVID Overlap
Method Flag:PEM Not DefinedNo ControlsExploratory Only